All For You Home Care Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 83 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments were completed prior to receiving a service from All For You Home Care Limited. This ensured the service could meet people’s expectations from the start, to support good outcomes. Assessments included how people wanted their care delivered, when, for how long and what equipment they required to support them safely. This helped people receive personalised care from the start. People’s important information from their assessments became a base for a care plan which gave staff information to follow at each care call. People and those important to them were involved in the assessment and planning process. One person’s relative told us, “At the beginning a full care plan was completed. We had a visit from senior staff, and everything was discussed in detail and what she needed was filled in.” Staff were confident they had the right information to support people in a personalised way.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s care plans were regularly reviewed to ensure they remained up to date.Care plans included person-centred guidance for staff on delivering the best care possible in line with individual needs and preferences. Staff followed guidance provided by specialist professionals, such as occupational therapists and district nurses.

The provider was aware of and implemented the right support, right care, and right culture guidance. Staff completed ongoing training to keep their skills and knowledge current. The training also included the training on learning disability and autism.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

The provider demonstrated effective collaboration between teams and external services to ensure people received comprehensive support. By sharing assessments of people's needs as they transitioned between services, they prevented the need for individuals to repeatedly recount their circumstances. For example, a multi-disciplinary person-centred approach was taken to significantly improve their well-being and independence in multiple areas such as personal care, nutrition and specific health condition. As a result of the progress achieved, the person was successfully supported to transition into 24-hour supported accommodation, representing a significant positive long-term outcome.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported with referrals to healthcare professionals when required. Care plans contained information about people’s health and their wishes in the event emergency care was required. Any concerns staff had were reported promptly to senior staff and to the relevant healthcare professionals to ensure timely and appropriate support for people.

People had ‘Care passports' in place which contained information for paramedics and/or hospital staff should the person become unwell. The care passport contained details of the person’s medical history, medicines, allergies, and other healthcare professionals involved in their care.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

Staff told us how they noticed changes in a person’s presentation and escalated this to the registered manager. The registered manager involved appropriate healthcare professionals who had to perform lifesaving surgery. Following the surgery staff supported the person to regain their body confidence, which resulted in a positive outcome for the person.

Staff maintained records after each visit of the care and support provided to people and their observations about people’s health and wellbeing. Senior staff reviewed these records regularly to monitor and check people were achieving their intended care goals and outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The service was working within the principles of the Mental Capacity Act 2005 (MCA). Mental capacity assessments were completed with people and others involved in their care. If people could not make decisions and consent to their care, processes were in place to make sure any decisions would be made in their best interests.

Staff understood the principles of the MCA. A member of staff told us, “My understanding of the Mental Capacity Act 2005 is that it is designed to protect and empower individuals who may lack the capacity to make certain decisions around their life. It ensures that any decisions made on their behalf are made in their best interests, using the least restrictive option and not stop them for having freedom, while always supporting individuals to make their own decisions wherever possible safely although it may seem unwise to us.”